Provider Demographics
NPI:1720248420
Name:ROGERS, AARON LEE (DIRECTOR)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:LEE
Last Name:ROGERS
Suffix:
Gender:M
Credentials:DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 E JUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44507-1939
Mailing Address - Country:US
Mailing Address - Phone:910-476-8029
Mailing Address - Fax:919-689-9017
Practice Address - Street 1:324 E JUDSON AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1939
Practice Address - Country:US
Practice Address - Phone:910-476-8029
Practice Address - Fax:919-689-9017
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health